Management of Shock - International Anesthesia Education Forum PDF
Preview Management of Shock - International Anesthesia Education Forum
Management of Shock Scott Provost, MD University of Utah Shock • Serious, life-threatening medical condition where insufficient blood flow reaches the body tissues! • Condition of severe impairment of tissue perfusion! Shock • Shock occurs at the cellular level! • Cell dysoxia producing a measurable change in organ function! • VO2 < MRO2 = SHOCK! Treatment • Identify cause of shock! • Supportive measures! • Treat underlying mechanism! Etiology Etiology • Shock is caused by problems with! • Pump (cardiogenic and noncardiogenic obstructive)! • Tubing (distributive)! • Fluid (hypovolemic)! Etiology • Cardiogenic Shock! • Myopathic: acute MI, cardiomyopathy! • Mechanical: valvular, papillary muscle! • Arrhythmia! Etiology • Extracardiac Obstructive Shock! • Pericardial tamponade! • Massive pulmonary embolism! • Tension pneumothorax! Etiology • Distributive Shock! • Sepsis! • Toxic! • Anaphylaxis! • Neurogenic! • Endocrinologic! Etiology • Oligemic Shock! • Hemorrhage! • Volume depletion! • Internal sequesteration!
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